%0 Journal Article
%T Hemodynamic Fetal Response to Maternal Isometric Exercise in Pregnant Patients  with Hypertension
%A Tatiana Frehner Kavalco
%A Jos¨¦ AntŁżnio Reis Ferreira de Lima
%A Monique Soares Paz
%A Wendel Mombaque dos Santos
%A Francisco Maximiliano Pancich Gallarreta
%J Open Journal of Obstetrics and Gynecology
%P 1399-1416
%@ 2160-8806
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojog.2023.138117
%X <strong>Objective:</strong> <span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">to evaluate the maternal-fetal hemodynamic response with Doppler in
pregnant women with chronic arterial hypertension and preeclampsia </span><span><span style=\"font-family:Verdana;\">submitted to controlled isometric activity. </span><b><span style=\"font-family:Verdana;\">Methods:</span></b><span style=\"font-family:Verdana;\"> experimental study co</span></span><span style=\"font-family:Verdana;\">mparing 50 healthy and 26 hypertensive and 24
preeclamptic pregnant women, from 26 to 36 weeks of gestational age, submitted
to isometric contraction with handgrip dynamometer. Maternal hemodynamic
parameters (systolic and diastolic blood pressure; heart rate; uterine arteries
Doppler) and fetal (heart rate; umbilical artery, middle cerebral and venous
duct Doppler) were evaluated before, during and post-isometry. </span><b><span style=\"font-family:Verdana;\">Results: </span></b><span style=\"font-family:Verdana;\">in
preeclampsia were observed higher values of blood pressure and uterine artery
in</span><span style=\"font-family:Verdana;\">dexes in all times; middle cerebral artery
indexes in the pre and post-isometry; </span><span style=\"font-family:Verdana;\">and of maternal heart rate
post-isometry. In hypertensive women, systolic blood pressure is increased all
the times, with indexes of the right uterine and middle cerebral arteries
higher in pre-isometry; middle cerebral and umbilical arteries greater during
isometry; and maternal heart rate and umbilical artery indexes bigger after
isometry. </span><b><span style=\"font-family:Verdana;\">Conclusion: </span></b><span style=\"font-family:Verdana;\">blood pressure is higher in preeclamptic and
hypertension women. The right uterine artery has more resistance in
preeclampsia, with a significant decrease in pre to isometry in hy</span><span style=\"font-family:Verdana;\">pe</span><span style=\"font-family:Verdana;\">rtensive and preeclamptic women; and
increased in contraction to post-isometry in healthy and hypertensive women.
The left uterine artery increases resistance post-isometry in all groups. The
fetal hemodynamic parameters did not show significant differences when
comparing the before, during and post-isometry.</span></span></span></span>
%K Exercise
%K Isometric
%K Pregnancy
%K High-Risk
%K Hemodynamics
%K Ultrasonography
%K Doppler
%K Fetal-Placental Circulation
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=127302